| NPI | 1104791821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTUS OGWOKA GICHABA Adminstrator 678-371-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |